Medicare Advantage in Madison County, Iowa
1,580 people in Madison County, Iowa were enrolled in Medicare Advantage in October 2026, 42.2% of 3,741 eligible beneficiaries (−0.9 pts since October 2025). UnitedHealth Group, Inc. is the largest parent organization with 35% of reported enrollment; 7 parent organizations have 11 or more members and the HHI is 2,595 (highly concentrated). HRSA classifies the county as fully rural. For 2027, 459 members here are in plans that terminate or leave the county, and Blue Cross Blue Shield of Michigan Mutual Ins. Co. leaves. MA plans offered go from 24 to 25.
Parent organizations in Madison County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| UnitedHealth Group, Inc. | 543 | −139 | 34.8% |
| CVS Health Corporation | 482 | +22 | 30.9% |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 293 | +28 | 18.8% |
| Trinity Health Corporation | 106 | +62 | 6.8% |
| Humana Inc. | 85 | +25 | 5.4% |
| Centene Corporation | 39 | +28 | 2.5% |
| Elevance Health, Inc. | 14 | −2 | 0.9% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 1,396 beneficiaries in Madison County were assigned to 20 Medicare Shared Savings Program ACOs, 84.0% of assignable Original Medicare beneficiaries. Together, roughly 91% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.